Utah Admin. Code R539-1-8 - State Funded Budget Portion for Non-Waiver Services
(1) The state funded portion shall be
calculated based on the Centers for Medicare and Medicaid Services Federal
Medical Assistance Percentage.
(2)
The division shall use the federal matching shares for Medicaid as updated
periodically in the Federal Register by the U.S. Department of Health and Human
Services under the authority of
42 U.S.C.
1396b (2024).
(3) The division shall reduce a person's
overall funding to include only the state match rate for any of the following
reasons:
(a) a person declines waiver
enrollment but is determined eligible for an HCBS waiver by the Department of
Workforce Services;
(b) a person is
determined ineligible for a HCBS waiver by the Department of Workforce
Services; or
(c) a person meets the
programmatic eligibility for an HCBS waiver but fails to apply for a
determination of Medicaid financial eligibility within 30 days of an offer for
waiver enrollment.
(4) A
person who receives a non-waiver service may have their non-waiver service
package reduced or terminated because of:
(a)
a division budget shortfall;
(b) a
reduced legislative allocation; or
(c) a reevaluation of eligibility.
Notes
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